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DLAD PGI



SUBPART 13.1 – Procedures [CH15]

PGI 13.106-3(b) File documentation and retention.

(90)(a)(i) Sample format.

SIMPLIFIED ACQUISITION PRICING MEMORANDUM

PURCHASE REQUEST OR CALL/ORDER NUMBER: ______________________ PRC:________

ITEM NUMBER & NAME: ______________________________________________________

PRICE REASONABLENESS BASED ON (Check one or more):

PRICE COMPARABILITY WITH PRIOR PURCHASE PRICES (Adjusted as appropriate):

Yes _____ No _____ NA _____

Explain: __________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

_____ ADEQUATE PRICE COMPETITION (Attach quotes/abstract) INVOLVING:

_____ ONE MANUFACTURER'S PART or ____ PARTS OF VARIOUS MFRS

Identify type competition (mfgr(s)/dealer(s)/both), competitive

range of offers, etc.: ____________________________________________________

___________________________________________________________________________

___________________________________________________________________________

_____ COMPARISON WITH PRIOR PURCHASE PRICE(s) OF SIMILAR ITEM NAME & NO.:

_________________________________________________________________

CONTRACT & CALL/ORDER NO.________________________________________

VENDOR____________________________________ AWARD DATE___________

UNIT OF ISSUE____________ UNIT PRICE______________ QTY___________

EXPLAIN ADJUSTMENTS AND BASIS FOR DETERMINING PRIOR PRICE

REASONABLE: _______________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

_____ COMMERCIAL CATALOG/PRICE LIST FOR:

_____ SAME ITEM or _____ SIMILAR ITEM

NAME/NUMBER________________________________________________________

DATE_____________________________ PAGE__________________________

EXPLAIN DIFFERENCES:_______________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

_____ ESTABLISHED MARKET PRICE:

MEANS OF VERIFICATION: ____________________________________________

_____ VALUE/VISUAL/COST ANALYSIS BY BUYER/USER/TECHNICAL PERSONNEL

(Attach or reference the review of technical data, examination of sample,

etc.):

EXPLAIN:___________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

_____ OTHER (Explain specific reason, e.g., valid purchase request estimate,

minimum order quantity, high priority delivery, special packaging/marking,

etc.):____________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

SIGNATURE OF CONTRACTING OFFICER DATE

_______________________________________________ ______________________

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